Individual
GORDON KIRK WATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1238 W ORANGE GROVE RD STE 103, TUCSON, AZ 85704-2950
(520) 838-3540
(520) 325-3526
Mailing address
3709 N CAMPBELL AVE STE 201, TUCSON, AZ 85719-1563
(520) 838-2122
(520) 838-2245
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
24145
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005502492
CIGNA
AZ
05
—
0562942
—
IA
01
—
060057125
RAILROAD MEDICARE
AZ
01
—
10055691
PPO NEXT
AZ
01
—
1Z3643
HEALTH NET
AZ
01
—
2198510
GHI
AZ
01
—
25-00273
UNITED HEALTHCARE
AZ
05
—
346355
—
AZ
01
—
5073471
CCN
AZ
01
—
5725261
AETNA
AZ
01
—
933773
FIRST HEALTH
AZ
01
—
AZ0860260
BCBS OF ARIZONA
AZ
05
—
XPY197517
—
CA
Enumeration date
05/24/2005
Last updated
11/16/2021
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